Occupational Therapy Assistant Salary in Lewiston, ME: $72,931 (2026)
Quick Answer:A full-time occupational therapy assistant in Lewiston, ME earns a median $72,931/year (≈ $35.06/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 31-2011). Once you factor in Lewiston's price level (0% above national, BEA RPP 99.6), that paycheck buys what $73,224 would nationally. Nominal pay sits 1.5% below the Maine state average.
Based on BLS state-level estimates · View source

Occupational therapy assistants in Lewiston, ME, are projected to earn a median annual salary of $72,931 in 2026. This figure reflects the changed dynamics of the local job market and compares slightly lower than the national median of $74,332. Salary ranges in the area anticipate substantial variation, with entry-level positions starting around $52,685 and experienced professionals earning up to $87,445. These estimates are supported by BLS state-level data and regional cost-of-living adjustments, crucial for understanding occupational therapy assistant pay in Lewiston. This competitive salary landscape shows how effective productivity and patient visit expectations can significantly impact earning potential for professionals seeking to make a difference in the community.
About the Lewiston Market
Salary estimated from Maine average ($64,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $52,685 | $25.33 |
| Lower Range (P25) | $62,013 | $29.81 |
| Median (P50)(typical) | $72,931 | $35.06 |
| Upper Range (P75) | $78,716 | $37.84 |
| Top Earners (P90) | $87,445 | $42.04 |
Median Salary Position
1.88% below the national average
2026 Salary Percentile Distribution in Lewiston
In Lewiston, ME, the occupational therapy assistant salary spread from the 10th to 90th percentile is $34,760 (2026 est.). At $72,931, the local median is 1.88% below the national median of $74,332.
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At 40 hours/week in Lewiston: You'd be above the median
How Lewiston Occupational Therapy Assistant Pay Compares
Lewiston median: $72,931/year (2026)
| Compared To | Median Salary | Lewiston Pays |
|---|---|---|
| Maine Average | $74,042 | -1.50% less |
| National Average | $74,332 | -1.88% less |
Occupational Therapy Assistants in Lewiston, ME earn a median of $72,931 per year (2026 est.), which is 1.88% lower than the national median of $74,332 and 1.50% below the Maine state average of $74,042.
Cost-of-Living Adjusted Salary
Lewiston has a cost of living 0.40% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Lewiston, ME has a cost-of-living index of 99.6 (below the national average of 100). A occupational therapy assistant earning $72,931 nominally has purchasing power equivalent to $73,224 in an average-cost city — an effective 0.4% boost.
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2019 BLS Actual
$49,800
2025 BLS Actual
$70,938
2026 Current Est.
$72,931
2019–2027 Growth
+50.6%
Salary Trajectory for Occupational Therapy Assistants in Lewiston (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $49,800 | Actual |
| 2020 | $51,240 | Actual |
| 2021 | $60,567 | Actual |
| 2022 | $63,040 | Actual |
| 2023 | $65,748 | Actual |
| 2024 | $62,794 | Actual |
| 2025 | $70,938 | Actual |
| 2026(current) | $72,931 | Estimated |
| 2027 | $74,981 | Projected |
Based on 7 years of BLS OEWS data for the Lewiston metropolitan area, the median occupational therapy assistant salary grew 42.4% from $49,800 (2019) to $70,938 (2025). At a 2.81% compound annual growth rate, salaries are projected to reach $74,981 by 2027 — a total increase of $25,181 (50.56%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Lewiston metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.81% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $52,685 – $62,013 |
| 3-5 years (Mid Career) | $62,013 – $72,931 |
| 5+ years (Experienced) | $72,931 – $78,716 |
| 10+ years (Top Earner) | $78,716 – $87,445 |
OTA salary ranges estimated from BLS percentile data. Individual occupational therapy assistant compensation varies by employer, certifications, and specialization.
Occupational Therapy Assistant Job Market in Lewiston
With only seven occupational therapy assistants currently employed in Lewiston, the local job market remains relatively small yet stable. The cost-of-living index stands at 99.6, indicating that expenses are slightly below the national average, which can enhance take-home purchasing power for those in the field. Employers offering the most attractive salaries typically include skilled nursing facilities and hospital inpatient rehabilitation settings, where funding may better accommodate the higher wages. The disparity between lower and higher salaries can be attributed to various factors, such as the different productivity expectations in diverse settings and the influence of contracts. Moreover, the 15% reduction in Medicare Part B reimbursements since 2022 has placed pressure on occupational therapy assistant salaries in settings like skilled nursing facilities and outpatient clinics. For new graduates and current occupational therapy assistants, securing positions in hospitals or pursuing year-round contracts could lead to improved compensation.
More salary data for Lewiston, ME:
Frequently Asked Questions
How much do occupational therapy assistants make in Lewiston, ME in 2026?
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Can occupational therapy assistants make $100K in Lewiston?
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Written by Jordan Lee, MS, OTR/L
Career Analyst
Jordan Lee has 10 years of experience as an occupational therapist. Their specialty is working with children with developmental disorders. They have worked in various healthcare settings including schools and rehabilitation facilities.
Methodology & Data Source
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $70,938 for occupational therapy assistantsin the Lewiston metropolitan area. A 2.81% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Lewiston is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.81%, derived from historical BLS wage trends for occupational therapy assistants (SOC 31-2011).
Compiled and verified by Jordan Lee, MS, OTR/L, a licensed occupational therapy assistant with 10+ years of clinical experience. · View source data at BLS.gov